Basis for spinal manipulative therapy: a physical therapist perspective.

Journal Article (Journal Article;Review)

Physical therapists internationally provide spinal manipulative therapy (SMT) to patients with musculoskeletal pain complaints. SMT has been a part of physical therapist practice since the profession's beginning. Early physical therapist clinical decision making for SMT was influenced by the approaches of osteopathic and orthopedic physicians at the time. Currently a segmental clinical decision making approach and a responder clinical decision making approach are two of the more common models through which physical therapist clinical use of SMT is directed. The focus of segmental clinical decision making is upon identifying a dysfunctional vertebral segment with the application of SMT to restore mobility and/or alleviate pain. The responder clinical decision making approach attempts to categorize individuals based on a pattern of signs and symptoms suggesting a likely positive response to SMT. The present manuscript provides an overview of common physical therapist clinical decision making approaches to SMT and presents areas requiring further study in order to optimize patient response.

Full Text

Duke Authors

Cited Authors

  • Bialosky, JE; Simon, CB; Bishop, MD; George, SZ

Published Date

  • October 2012

Published In

Volume / Issue

  • 22 / 5

Start / End Page

  • 643 - 647

PubMed ID

  • 22197083

Pubmed Central ID

  • PMC3461123

Electronic International Standard Serial Number (EISSN)

  • 1873-5711

Digital Object Identifier (DOI)

  • 10.1016/j.jelekin.2011.11.014


  • eng

Conference Location

  • England